License holder summary

BRIAN KEVIN THEISEN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for BRIAN KEVIN THEISEN is Ferndale MI 48220. This medical practitioner license is current. The license was granted 06/06/2011 and expired on 06/30/2016.

Department of State

Board of Medicine

BRIAN KEVIN THEISEN
Graduate Medical Trainee
License number
MT200225
Date granted
06/06/2011
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Ferndale MI 48220
medicinepa.com
ID 37573404
LAST UPDATED 2026-03-14 06:49:14 UTC

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